Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $165.96 / $302.00	Facility		$87.10	$165.96	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $194.98	Professional		$109.65	$144.54	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $162.18	Facility		$154.88	$154.88	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $371.54	Professional		$117.49	$190.55	$371.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $281.84 / $338.84	Professional		$257.04	$281.84	$338.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $446.68 / $812.83	Facility		$323.59	$446.68	$812.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $281.84	Professional		$141.25	$186.21	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $295.12	Professional		$95.50	$151.36	$295.12